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Online Registration

Simply fill out the form below to register each child

Child's Info

Registration Date:
Child's First Name:
Child's Last Name:
Child's Birthdate:
Child's Age:
Child's Current Grade:
Child's Gender:
Jersey Size:
Child's School Name:
Teamate Request:
Teamate Name:


Parent Info

Parent Name:
State, Zip:
Home Phone/ Cell Phone:
Emergency Contact Name:
Emergency Contact Phone:
Would you like to be a volunteer coach for your child's team?
Name of Coach:
Coach Emaill Address: